Active NPI
Jennifer L. Rice, PA-C
- Physician Assistant
- Estero, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9105815
- Practice address
- 23471 Walden Center Dr Ste 300
Estero, FL 34134-5016 - Phone
- (239) 498-3376
- Fax
- (239) 498-3379
- NPI assigned
- Jul 12, 2006
- Last updated
- Aug 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9105815 | FL | Primary |
Addresses
Primary practice location
23471 Walden Center Dr Ste 300
Estero, FL 34134-5016
Mailing address
15051 S. Tamiami Trail
Suite 203
Fort Myers, FL 33908
Phone (239) 437-8810
Other practice location 1
2235 Venetian Ct Ste 1
Naples, FL 34109-8728
Phone (239) 596-9337
Other practice location 2
14440 Metropolis Ave Ste 102
Fort Myers, FL 33912-4364
Phone (239) 590-8894
Other practice location 3
25987 S. Tamiami Trail
Unit 90
Bonita Springs, FL 34134
Phone (239) 444-3201
Other practice location 4
671 Goodlette Rd N Ste 160
Naples, FL 34102-5468
Phone (239) 307-4605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2235 Venetian CT
Suite 1
Naples, FL 34109-8728
Phone 2395969337610
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9105815 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Coastal Surgery Center, Inc | Past | Accepting new patients | |
| Medaisle Express, LLC | Past | Accepting new patients | |
| Naples Center for Dermatology & Riverchase Dermatology | Past | Accepting new patients | |
| Alta Health Group LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/18228/brand/1/csg/1/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Naples, FL
- NPI 1700133303
-
- Ambulatory Surgical Clinic/Center
- Naples, FL
- NPI 1003812686
-
dba Riverchase Dermatology
- Durable Medical Equipment & Medical Supplies
- Cape Coral, FL
- NPI 1538645775
-
- Family Medicine Physician
- Reno, NV
- NPI 1194902916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1841225083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15051 S. TAMIAMI TRAIL",
"address_2": "SUITE 203",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "33908",
"telephone_number": "239-437-8810",
"fax_number": "239-313-2555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23471 WALDEN CENTER DR STE 300",
"city": "ESTERO",
"state": "FL",
"postal_code": "341345016",
"telephone_number": "239-498-3376",
"fax_number": "239-498-3379"
}
],
"practiceLocations": [
{
"address_1": "2235 Venetian Ct Ste 1",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "341098728",
"country_code": "US",
"telephone_number": "239-596-9337",
"fax_number": "239-596-9466",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14440 Metropolis Ave Ste 102",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339124364",
"country_code": "US",
"telephone_number": "239-590-8894",
"fax_number": "239-590-8895",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25987 S. Tamiami Trail",
"address_2": "Unit 90",
"address_purpose": "LOCATION",
"city": "Bonita Springs",
"state": "FL",
"postal_code": "34134",
"country_code": "US",
"telephone_number": "239-444-3201",
"fax_number": "239-992-9359",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "671 Goodlette Rd N Ste 160",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "341025468",
"country_code": "US",
"telephone_number": "239-307-4605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICE",
"first_name": "JENNIFER",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9105815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Estero, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.